Sgarbossa's criteria: Difference between revisions
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==Background== | ==Background== | ||
*Sgarbossa Criteria help in assessing the likelihood that a patient with chest pain and a baseline LBBB is having a STEMI | |||
* | *Low Sensitivity, High Specificity | ||
* Low Sensitivity, High Specificity | |||
==Sgarbossa Criteria== | ==Sgarbossa Criteria== | ||
*ST-segment elevation ≥1 mm in a lead with upward (concordant) QRS complex (5 points) | |||
* ST-segment elevation ≥1 mm in a lead with upward (concordant) QRS complex (5 points) | *ST-segment depression ≥1 mm in lead V1, V2, or V3 (3 points) | ||
* ST-segment depression ≥1 mm in lead V1, V2, or V3 (3 points) | *ST-segment elevation ≥5 mm in a lead with downward (discordant) QRS complex (2 points) | ||
* ST-segment elevation ≥5 mm in a lead with downward (discordant) QRS complex (2 points) | |||
Points Probability STEMI | Points Probability STEMI | ||
0 16% | 0 16% | ||
5-10 88-100% | 5-10 88-100% | ||
==Notes== | |||
*Unlike general AHA STEMI criteria, the Sgarbossa criteria do NOT need to be found in contiguous leads | |||
*RBBB should NEVER have ST elevation | |||
* Unlike general AHA STEMI criteria, the Sgarbossa criteria do NOT need to be found in contiguous leads | |||
* | |||
==Source== | |||
== | |||
Sgarbossa, American Heart Journal 2006 | Sgarbossa, American Heart Journal 2006 | ||
[[Category:Cards]] | [[Category:Cards]] | ||
Revision as of 07:01, 3 March 2011
Background
- Sgarbossa Criteria help in assessing the likelihood that a patient with chest pain and a baseline LBBB is having a STEMI
- Low Sensitivity, High Specificity
Sgarbossa Criteria
- ST-segment elevation ≥1 mm in a lead with upward (concordant) QRS complex (5 points)
- ST-segment depression ≥1 mm in lead V1, V2, or V3 (3 points)
- ST-segment elevation ≥5 mm in a lead with downward (discordant) QRS complex (2 points)
Points Probability STEMI 0 16% 5-10 88-100%
Notes
- Unlike general AHA STEMI criteria, the Sgarbossa criteria do NOT need to be found in contiguous leads
- RBBB should NEVER have ST elevation
Source
Sgarbossa, American Heart Journal 2006